• Asian (Thai) immigrants;
  • mammography screening;
  • Thai women

ABSTRACT Objectives: To identify the factors influencing mammography screening among Thai immigrant women in Southern California.

Background: Asian women have lower mammography screening rates than other U.S. women (Centers for Disease Control [CDC], 2007), and only 53% of Thai women in Los Angeles had a mammogram in the prior 2 years (Thai Community Development Center, 2004).

Design: A phenomenological approach was used to elicit Thai immigrant women's perceptions of the reasons for screening participation. Phenomenology is an appropriate means of describing screening as experienced by members of a population for which there is little information. Focus groups were used to collect data to provide a group perspective.

Sample: Thai women over 40 years of age in 2 Southern California counties were recruited at a local temple and a social services agency.

Measurement: Participants were asked about mammography participation and to describe the factors that influenced screening for themselves, family members, and friends. Thematic analysis identified major themes.

Results: Factors influencing mammography screening included knowledge, encouragement, health consciousness, physical factors, fear, cultural factors, social responsibilities, and logistical barriers.

Conclusions: Participants identified factors amenable to nursing intervention that may influence mammography screening in this population. Further study is needed to determine the prevalence of these factors.